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Utah rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $8.91 / $10.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $12.59 / $19.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $31.62
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $11.75 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $11.22 / $17.38